Individual
AUSTIN NELSON KUIPERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
730 GRANDVILLE AVE SW, GRAND RAPIDS, MI 49503-4920
(616) 685-8400
(616) 742-1322
Mailing address
245 STATE ST SE, STE 228, GRAND RAPIDS, MI 49503-4328
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006042
MI
Other
Enumeration date
05/23/2011
Last updated
12/21/2021
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